What risk factors in a cirrhotic patient would predispose them to the development of sarcopenia and how do you address these risk factors?

The most common risk factor for sarcopenia in cirrhosis is recurrent large ascites/diuretic refractory ascites requiring regular large volume paracentesis every 1-2 weeks. 4 L of ascites contains as much as 60 grams of protein.

Additionally, at the decompensated stage of liver disease (hepatic encephalopathy, recurrent variceal bleeding, recurrent ascites), patients are prone for malnutrition due to the disease state itself; patients have reduced ability to synthesize proteins and have increased...